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- Shengming Deng, Bin Zhang, Ying Huang, Jihui Li, Shibiao Sang, and Wei Zhang.
- Department of Nuclear Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China.
- Medicine (Baltimore). 2017 Mar 1; 96 (11): e6341.
RationalePrimary renal pelvis squamous cell carcinoma (SCC) is an extremely rare neoplasm. In many patients, the SCC was associated with renal calculi.Patient ConcernsA 61-year-old male presented with intermittent pain at the left lumbar region for 3 days. The PET/CT images demonstrated increased F-FDG uptake in the upper pole of the left kidney and left renal hilar lymph nodes.DiagnosesPathologic examination revealed well-moderately differentiated renal pelvis SCC with lymphatic metastasis.InterventionsThe patient underwent a left nephrectomy a few days after the initial staging PET/CT study.OutcomesNo growing lesion or metastasis was observed during a 6-month follow-up.LessonsOur case demonstrates that F-FDG PET/CT is a useful diagnostic tool to evaluate primary renal pelvic SCC and detect metastatic lymph nodes in patients with long-standing calculi.
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